ALC COMMISSIONING FORM
Customer Name
*
First Name
Last Name
Filled on
/
Month
/
Day
Year
Current Date
Email
example@example.com
Telephone
Please enter a valid phone number.
Jobsite Name
*
Jobsite Address
*
Enter full address.
Street Address Line 2
City
State / Province
Postal / Zip Code
Jobsite Install Completion Date
*
/
Month
/
Day
Year
Jobsite Contact No.
*
E-mail
example@example.com
Job-site Business Hours
*
Hour Minutes
AM
PM
AM/PM Option
Until
until
Hour Minutes
AM
PM
AM/PM Option
PO#
*
SO#
SCOPE OF WORK
Sensor SKU Numbers
Sensor Quantities
Fixture SKU Numbers
Fixture Quantities
Timer or photocell installed on outdoor fixtures.
Provide Facility Layout
Upload Layout
Drag and drop files here
Choose a file
Cancel
of
PROGRAMMING REQUIREMENTS
High End Trim
Yes
Bi Level Dimming
Yes
Multiple Zones
Yes
Time Clock
Yes
Remote Access
Yes
Scheduling
Yes
Other (Describe)
Additional Comments
Include any known restrictions or issues during this scheduled time (areas not available, offices locked, lights not working, etc.)
Submit
Should be Empty: